Contra Costa Health Plan is seeking a strategic Utilization Review Manager in Martinez, CA. You will lead clinical review operations, drive policies, and ensure compliant, timely utilization management for multiple lines of business.
Ideal candidates bring RN licensure in California, 3 years in hospital managed care UR roles, plus 1 year supervisory experience. Mastery of DHCS/DMHC/CMS/NCQA standards is preferred.
#J-18808-LjbffrUtilization Management Leader – Health Plan in martinez at Unknown Company
This position is listed as full time and onsite.